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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
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Endovascular thrombectomy (EVT) as the standard care for acute stroke due to large vessel occlusion has recently been validated through several randomized controlled trials (RCTs). Contact aspiration (CA) and stent retriever (SR) are the two major EVT methods currently used. Because the RCTs have mostly evaluated SR devices, there was a demand to test CA in relation to SR as a frontline EVT treatment method. Recently, the Contact Aspiration vs Stent Retriever for Successful Recanalization (ASTER) study, the first RCT to compare CA and SR, demonstrated similar efficacy between them as a frontline EVT for patients with large vessel occlusions. This facilitates further investigation to confirm better frontline EVT for patients with acute stroke. In this review, we discuss past and recent developments in CA techniques, focusing on related literature. Additionally, we describe practical skills to overcome technical difficulties that can be encountered during the CA procedure. Finally, we review the evolution of device technologies, including a newer version of using a large-bore aspiration catheter.
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참고문헌 (60)
참고문헌 신청
Berkhemer OA / 2015 / A randomized trial of intraarterial treatment for acute ischemic stroke / N Engl J Med 372:11~20
Goyal M / 2015 / Randomized assessment of rapid endovascular treatment of ischemic stroke / N Engl J Med 372:1019~1030
Campbell BC / 2015 / Endovascular therapy for ischemic stroke with perfusion-imaging selection / N Engl J Med 372:1009~1018
Jovin TG / 2015 / Thrombectomy within 8 hours after symptom onset in ischemic stroke / N Engl J Med 372:2296~2306
Saver JL / 2015 / Stent-retriever thrombectomy after intravenous t-PA vs. t-PA alone in stroke / N Engl J Med 372:2285~2295
Goyal M / 2015 / Randomized assessment of rapid endovascular treatment of ischemic stroke / N Engl J Med 372:1019~1030
Campbell BC / 2015 / Endovascular therapy for ischemic stroke with perfusion-imaging selection / N Engl J Med 372:1009~1018
Jovin TG / 2015 / Thrombectomy within 8 hours after symptom onset in ischemic stroke / N Engl J Med 372:2296~2306
Saver JL / 2015 / Stent-retriever thrombectomy after intravenous t-PA vs. t-PA alone in stroke / N Engl J Med 372:2285~2295
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